Organization
WILSHIRE VISTA MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIMIN TEHRANI RN (ADMINISTRATOR)
(323) 933-8271
Entity
Organization
Contact information
Practice address
1015 S ORANGE GROVE AVE, LOS ANGELES, CA 90019-6510
(323) 933-8271
(323) 933-8273
Mailing address
1015 S ORANGE GROVE AVE, LOS ANGELES, CA 90019-6510
(323) 933-8271
(323) 933-8273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
CA
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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